HomeMy WebLinkAboutBuilding Permit 08-0896
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
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A Jr\
A .
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DATE
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EVERGREEN CONSTRUCTION
CO., INC .
Re-Side
BUILDING PERMIT #08-0896
TIME
SCHEDULED
o PLUMBING RI . - - ----
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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jLWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: / I J 7 Owner/Contr:
V '/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
(Please type or print and SiWl at bottom)
ADDRESS
/.y/1J7
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I While
Pink
Yellow
File
City
Applicant
PERMIT NO. ()~. 0 f/7t I
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Uc....,
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
(Phone)
BUILDER L
(Company Name)~~ ~~~~~
(Contact Name) SL.L_~ _~,.,...-
(Address) 9~, ~ ~ SoJ. 12.-..1
PID
Date Rec' d
10. L3/0f'
ZONING (office use)
(Phone) Ie S-, ..2 D~ ~$.
(Phone)
$r/l4/
,-.....
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing '15tRe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIOn ~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have furnIShed mformation on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authorized agent for the
abnvc-mentlOned plOpeny that all constl uctwn Will conform to all eXlst10g state and local laws and Will proceed 10 accO! dance with submltled plans I am aware that the bUlld10g
7voke thl:~,t cause FUlthermo~1 hereby agree that the my offiCIal or a deSignee may enter upon the pIOperty to perform nee::;;:.~;..
x~ Signature Contractor's License No ' date
.,/
"." I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
$
$
SAC
Water Meter
Size 5/8"; 1";
$
$
$
$
$
$
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
7Ct,- /
'(), z;1~ Q f/
(/
8uilctll1g Ofticial
Date
#
#
#
#
/1
II
tMceipt No.
...:'I.y
(j
$
$
$
$
$
$
$
$
$
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ThIS IS to certify that the request 10 the above applicatIon and accompanY1Og documents IS 10 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner Cllnstrtutes a temporary Certificate of Zon1Og comphance and allnws construction to commence. Before occupancy. a Cerllflcate of Occupancy must be
isslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any